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Table 4 Impact of history of depression on reasons for not seeking care during depression

From: Why underserved patients do not consult their general practitioner for depression: results of a qualitative and a quantitative survey at a free outpatient clinic in Paris, France

  Current episode (n = 129) Past episode (n = 53) Hypothetical episode (n = 68)  
  n % n % n % p
1. Treatment of depression        
a) Reluctance:        
  - The inefficacy of drugs. 73 56.6 30 56.6 34 50.0 0.648
  - The possibility that the physician would prescribe drugs with side effects. 76 58.9 31 58.5 35 51.5 0.582
  - Afraid of the duration and complexity of the treatment. 70 54.3 31 58.5 35 51.5 0.743
  - Afraid of the side effects of drugs. 98 76.0 34 64.2 41 60.3 0.051
  - Afraid to face reality.        
b) Psychiatrist better suited than a GP 40 31.0 18 14.0 18 26.5 0.658
c) Trust in God:        
  - God can heal 89 69.0 29 54.7 48 70.6 0.125
  - Prayer can heal 84 65.1 29 54.7 45 66.2 0.349
d) Not believing that treatment is necessary:        
  - I know why I’m depressed. so if I solve the problem. I’ll feel better 98 76.0 40 31.0 50 73.5 0.93
  - I don’t think I’m depressed (enough) 92 71.3 32 24.8 46 67.6 0.355
2. Perception of depression        
a) Loss of self-worth (poor self-image):        
  - Shame of being depressed. 55 42.6 20 15.5 15 22.1 0.016
  - Feeling guilty towards society. 39 30.2 6 4.7 13 19.1 0.015
  - Depression is a weakness. 71 55.0 25 19.4 33 48.5 0.526
  - Lack of virility*. 26 20.2 1 0.8 10 14.7 0.002
b) Stigmatization:        
  - Afraid of being judged by society. 63 48.8 19 35.8 19 27.9 0.013
  - Afraid of being considered crazy. 59 45.7 16 30.2 23 33.8 0.084
  - I’m afraid of being categorized by society or my friends and family. 85 65.9 22 41.5 23 33.8 <0.001
c) Mental health problems are not diseases. 36 27.9 12 22.6 23 33.8 0.394
d) Depression is a taboo subject. 55 42.6 16 30.2 24 35.3 0.252
e) I have a family history of depression and don’t want to follow suit. 37 28.7 17 32.1 17 25.0 0.689
3. Social environment        
a) Someone at home to talk to. 93 72.1 33 62.3 49 72.1 0.384
b) Afraid to bother those around him/her. 82 63.6 31 58.5 34 50.0 0.184
c) Incompatibility with social status:        
  - Prohibited because of social status. 40 31.0 12 22.6 24 35.3 0.317
  - Prohibited because of role among family and friends. 43 33.3 11 20.8 17 25.0 0.178
4. Doctor-patient relationship        
a) Not knowing a doctor to talk to        
  - No GP to talk to about it. 52 40.3 14 26.4 17 25.0 0.047
  - Don’t know who to talk to. 55 42.6 17 32.1 24 35.3 0.341
  - Don’t know GP well enough. 66 51.2 21 39.6 21 30.9 0.02
b) Neglect on the part of the GP        
  - The GP would not listen to the complaint 53 41.1 17 32.1 18 26.5 0.108
  - Bad experiences with GP. 36 27.9 15 28.3 9 13.2 0.051
c) Not a GP’s role        
  - The GP could not look after this problem. 61 47.3 22 41.5 27 39.7 0.547
  - Afraid to bother GP. 62 48.1 18 34.0 21 30.9 0.037
  1. *Men only were interviewed about this proposition.